institution
Gulf Coast Mental Health Center
Intellectual & Developmental Disabilities Psychologist in Gulfport, Mississippi
NPI 1861715773

Gulf Coast Mental Health Center is a Intellectual & Developmental Disabilities Psychologist based in Gulfport, MS and is specialized in Intellectual & Developmental Disabilities. Gulf Coast Mental Health Center practices in Gulfport, MS. The NPI Number for Gulf Coast Mental Health Center is 1861715773 and holds a License No. R13-1 (Mississippi).

The current practice location address for Gulf Coast Mental Health Center is 1600 Broad Ave, Gulfport, MS and can be reached out via phone at 228-863-1132 and via fax at 228-865-1700.

Location: 1600 Broad Ave, Gulfport, MS, 39501-3603
institution
Provider Profile Details
NPI Number
1861715773
Provider Name
Gulf Coast Mental Health Center
Credential
Provider Entity Type
Organization
Address
1600 Broad Ave, Gulfport, MS, 39501-3603
Phone Number
228-863-1132
Fax Number
228-865-1700
Provider Enumeration Date
03/05/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00770456 05 MS
institution
Provider Business Practice Location Address Details
Address
1600 Broad Ave
City
State
Zip
39501-3603
Phone Number
228-863-1132
Fax Number
228-865-1700
person
Provider Business Mailing Address Details
Address
1600 Broad Ave
City
State
Zip
39501-3603
Phone Number
228-863-1132
Fax Number
228-865-1700
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Intellectual & Developmental Disabilities
Taxonomy
License No.
R13-1 (Mississippi)
Definition
Definition to come...
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